New Prediction Equations to Estimate Appendicular Skeletal Muscle Mass Using Calf Circumference: Results From NHANES 1999-2006

被引:75
作者
Santos, Leonardo Pozza [1 ]
Gonzalez, Maria Cristina [2 ,3 ]
Orlandi, Silvana Paiva [4 ]
Bielemann, Renata Moraes [4 ,5 ]
Barbosa-Silva, Thiago G. [5 ]
Heymsfield, Steven B. [3 ]
机构
[1] Fed Univ Pampa, Nutr Coll, Bage, Brazil
[2] Univ Catolica Pelotas, Postgrad Program Hlth & Behav, Ver Ariano R Carvalho 304, BR-96055800 Pelotas, RS, Brazil
[3] Louisiana State Univ, Pennington Biomed Res Ctr, Baton Rouge, LA 70808 USA
[4] Univ Fed Pelotas, Nutr Coll, Pelotas, Brazil
[5] Univ Fed Pelotas, Postgrad Program Hlth & Behav & Epidemiol, Pelotas, Brazil
关键词
body composition; nutrition surveys; sarcopenia; BIOELECTRICAL-IMPEDANCE ANALYSIS; OLDER-ADULTS; SARCOPENIA; BIOIMPEDANCE;
D O I
10.1002/jpen.1605
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Background Low appendicular skeletal muscle mass (ASM) is associated with negative outcomes, but its assessment requires proper limb muscle evaluation. We aimed to verify how anthropometric circumferences are correlated to ASM and to develop new prediction equations based on calf circumference and other anthropometric measures, using dual-energy X-ray absorptiometry (DEXA) as the reference method. Methods DEXA and anthropometric information from 15,293 adults surveyed in the 1999-2006 NHANES were evaluated. ASM was defined by the sum of the lean soft tissue from the limbs. Anthropometric data included BMI and calf, arm, thigh, and waist circumferences. Correlations were assessed by Pearson's correlation, and multivariable linear regression produced 4 different ASM prediction equations. The concordance and the overall 95% limits of agreement between measured and estimated ASM were assessed using Lin's coefficient and Bland-Altman's approach. Results Calf and thigh circumferences were highly correlated with ASM, independent of age and ethnicity. Among the models, the best performance came from the equation constituted solely by calf circumference, sex, race, and age as independent variables, which was able to explain almost 90% of the DEXA-measured ASM variation. The inclusion of different anthropometric parameters in the model increased collinearity without improving estimates. Concordance between the four developed equations and DEXA-measured ASM was high (Lin's concordance coefficient >0.90). Conclusion Despite the good performance of the four developed equations in predicting ASM, the best results came from the equation constituted only by calf circumference, sex, race, and age. This equation allows satisfactory ASM estimation from a single anthropometric measurement.
引用
收藏
页码:998 / 1007
页数:10
相关论文
共 38 条
  • [1] Abd MA, 2018, IEEE ASME INT C ADV, P21, DOI [10.1109/aim.2018.8452704, 10.1109/AIM.2018.8452704]
  • [2] Muscle function-dependent sarcopenia and cut-off values of possible predictors in community-dwelling Turkish elderly: calf circumference, midarm muscle circumference and walking speed
    Akin, S.
    Mucuk, S.
    Ozturk, A.
    Mazicioglu, M.
    Gocer, S.
    Arguvanli, S.
    Safak, E. D.
    [J]. EUROPEAN JOURNAL OF CLINICAL NUTRITION, 2015, 69 (10) : 1087 - 1090
  • [3] [Anonymous], 2002, National health and nutrition examination survey data
  • [4] [Anonymous], 2004, National Health and Nutrition Examination Cardiovascular Fitness Procedures Manual
  • [5] [Anonymous], 2005, National Health and Nutrition Examination Survey data
  • [6] [Anonymous], 2000, NATL HLTH NUTR EXAMI
  • [7] [Anonymous], 2006, NAT HLTH NUTR EX SUR
  • [8] [Anonymous], POPULATION PROJECTIO
  • [9] [Anonymous], 2011, Global Health and Aging
  • [10] Prevalence of sarcopenia among community-dwelling elderly of a medium-sized South American city: results of the COMO VAI? study
    Barbosa-Silva, Thiago G.
    Bielemann, Renata M.
    Gonzalez, Maria Cristina
    Menezes, Ana Maria B.
    [J]. JOURNAL OF CACHEXIA SARCOPENIA AND MUSCLE, 2016, 7 (02) : 136 - 143